Foot and lower limb health complications are a common occurrence in patients undergoing dialysis. These complications can significantly impact the quality of life of these patients, affecting their mobility, independence, and overall well-being. Despite the prevalence of these issues, there is a lack of comprehensive information on prevention and management strategies. This article aims to provide a summary of the available evidence and shed light on this important topic.
Dialysis is a treatment that performs some of the functions of healthy kidneys when they can no longer do so. It’s a life-saving treatment for those with kidney failure, but it’s not without its challenges. One of these challenges is the increased risk of foot and lower limb health complications. These can range from minor issues like foot pain and skin problems to more serious conditions like peripheral artery disease and foot ulcers.
The reasons behind these complications are multifaceted. Reduced kidney function can lead to a buildup of toxins in the body, which can affect nerve function and blood circulation, particularly in the lower limbs. This can result in numbness, pain, and increased risk of injury. Additionally, many patients on dialysis have other health conditions, such as diabetes, which can further increase the risk of foot and lower limb complications.
Despite the high prevalence of these complications, there is a lack of comprehensive, easily accessible information on how to prevent and manage them. This is a significant gap in the care of patients undergoing dialysis, as effective prevention and management strategies can significantly improve patients’ quality of life.
The aim of this scoping review was to summarise the available evidence on the prevention and management of foot and lower limb health complications in adults undergoing dialysis. By doing so, it hopes to provide a valuable resource for healthcare professionals, patients, and caregivers alike.
The review found that there are several strategies that can help prevent and manage these complications. These include regular foot care, which can help prevent skin problems and foot ulcers; physical activity, which can improve blood circulation and muscle strength; and careful management of other health conditions, such as diabetes and high blood pressure.
However, the review also highlighted the need for more research in this area. While the strategies mentioned above can be effective, there is a need for more evidence-based guidelines and protocols. This is particularly important given the complex needs of patients undergoing dialysis and the potential for serious complications if foot and lower limb health issues are not properly managed.
In conclusion, foot and lower limb health complications are a common and serious issue for patients undergoing dialysis. While there are strategies available to prevent and manage these complications, there is a need for more comprehensive, evidence-based guidelines. This scoping review provides a valuable starting point, but more research is needed to ensure the best possible care for these patients. By focusing on this important aspect of patient care, we can help improve the quality of life for those undergoing dialysis.
To read the full journal article, head to https://jfootankleres.biomedcentral.com/articles/10.1186/s13047-023-00679-z